257154 Increasing contraceptive use: FP as an enabling strategy for development in Uttar Pradesh, India

Tuesday, October 30, 2012 : 2:30 PM - 2:45 PM

Adrienne Allison, MA MPA , International Programs Group, World Vision, Chevy Chase, MD
Contraceptive use in Hardoi District is the lowest in India, but when World Vision moved from FP/population messages to healthy timing and spacing messages, and reprogrammed FP activities as a secondary, enabling strategy within a broader development program, the CPR increased from 44% to 77% (67,989 MWRA) in four years. Data were collected and analyzed by India's National Institute of Family Welfare. WV organized women and men into Self Help Groups, and trained ASHAs * to train them to counsel on the essential MCH+FP interventions, using registers that outlined the rights messages to give, at the right time, during the first 1000 days. Because of high illiteracy, WV replaced printed words in the registers with colored icons and trained them to recognize their meanings. The SHG women registered pregnant and lactating mothers in ten households, gave them appropriate messages and wall charts with the same icons, arranged along a timeline, to reinforce these messages. They registered all other contraceptors, distributed condoms and pills, and referred to ASHAs for other methods. Male SHG members used the icons in their advocacy with men and religious leaders. Together they organized rallies and campaigns to change norms and support healthy behaviors. Couple counseling by couples was introduced later to ensure that husbands and wives heard the same messages, to improve couple communication and to reinforce individual counseling. *This training also strengthened the ASHAs' commitment to provide quality services to the SHG communities.

Learning Areas:
Implementation of health education strategies, interventions and programs

Learning Objectives:
1. Identify counseling strategies that accelerate contraceptive uptake 2. Describe SBCC strategies designed and implemented by Self Help Groups

Keywords: Community Health Promoters, Family Violence

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I designed USAID's first grants program for NGOs to work in HIV/AIDs.Designed the International Hearings for the Presidential Commission on HIV/AIDS.Invited NGO speaker at ICPD.MPH associate professor at the Johns Hopkins Bloomberg School of Public Health(7 years)and George Washington School of Public Health and Health Services (6 years).Technical advisor on FP/RH for all World Vision (44,000 staff in 97 countries)
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.